A Study on Screening for Silent Cardiac Dysfunction in Type II Diabetes Mellitus

Abstract

Background : India being diabetic capital, the present study was conducted to screen for cardiac dysfunctions in diabetics. Objective : To screen silent cardiac dysfunction in type II Diabetes Mellitus and correlation with duration of type II Diabetes Mellitus by non-invasive methods. Method : A prospective study of 100 established cases of type II Diabetes Mellitus without history of cardiac disorder were included in the present study. Cases were further evaluated with Chest X-ray PA View; ECG and Echocardiography. Result and interpretation : In this study the age of patients was 30-80 years (Mean age =59.08± 11.38) of which 72% were males and 28% females. 49% patients had BMI above 25. Duration of type II Diabetes was 10 years in 24% patients. Among 100 patients, 16 cases had evidence myocardial infarction. 55 cases have evidence of hypertension, 50 cases had dyslipidemia and 22 cases had cardiomegaly. Those who had duration more than 5 years showed more incidence of cardiac dysfunction. Conclusion : Many cardiac dysfunction i.e., IHD, CHF, HTN, Arrhythmias, systolic&diastolic ventricular dysfunction have been reported in type II Diabetes Mellitus. These disorders can easily be recognized by non-invasive methods without much apprehensive of invasive procedures and financial burden.